I-Thrombectomy kwizibhedlele ze-Apollo, eLucknow

Kutheni Izigulana Zikhetha Izibhedlele zaseApollo eLucknow ukuze Zisuswe I-Thrombectomy?

• Isibhedlele sokhathalelo olukhethekileyo oluneendawo zokulala ezingama-250 eKanpur Road, eLucknow, eyinxalenye yeqela le-Apollo Hospitals, eliye lanikezela ngonyango oluphezulu eIndiya ukusukela ngo-1983 kwaye ngoku linyanga izigulana ezivela kumazwe angaphezu kwe-120.
• Iinkonzo zongxamiseko kunye nonyango olungxamisekileyo olusebenza imini nobusuku, kunye necandelo likaxakeka kunye neeyunithi zokhathalelo oluphezulu ezinabasebenzi ngamaxesha onke - kubalulekile kuba ukususwa kwe-thrombectomy kwi-stroke, i-limb ishaemia okanye i-pulmonary embolism kubaluleke kakhulu.
• Iqela lokufumana amahlwili egazi elivela kwiingcali ezahlukeneyo ithathwe kwi-neurology kunye neenkonzo ze-neuro-interventional, i-interventional radiology, i-cardiology, utyando lwemithambo yegazi kunye ne-cardiothoracic, i-anesthesia kunye nonyango olubalulekileyo - ngoko ke isigulana sivavanywa yingcali efanelekileyo kwindawo apho ihlwili khona endaweni yecandelo elinye.
• Abacebisi abaphezulu abanamava adibeneyo eminyaka emininzi. Iingcali ze-neuroscience zika-Apollo Lucknow, isayensi yentliziyo kunye namaqela emithambo yegazi xa zizonke zimele iminyaka engaphezulu kwekhulu yokusebenza kweklinikhi emva kokuchwephesha; iqela elichanekileyo elisemsebenzini kunye namava ogqirha ngamnye anokuqinisekiswa kwidesika yee-aphoyintimenti ngaphambi kokuba uhambe.
• Imifanekiso kunye neziseko zelebhu phantsi kophahla olunye I-CT enekhono le-angiography, i-MRI, i-digital subtraction angiography, i-ultrasound kunye ne-Doppler, kunye nelebhu ezinikeleyo ye-catheterisation, evumela ukuxilongwa kunye nokubuyiswa kwe-clot ngomatshini ukuba kusebenze njengendlela eqhubekayo.
• Iindlela zanamhlanje ze-endovascular kuquka i-stent retriever kunye ne-aspiration (suction) thrombectomy, i-thrombolysis ekhokelwa yi-catheter, kunye ne-open or hybrid surgery embolectomy apho i-anatomy ifuna njalo.
• Ukubuyisela kwimeko yesiqhelo kuthathwa njengenxalenye yenkqubo, kungekhona into ecingelwayo emva koko: i-physiotherapy kwindawo yokusebenza, i-neuro-rehabilitation, i-speech and glow therapy, i-occupational therapy kunye ne-dietetics zixhasa izigulane emva kwe-stroke okanye i-limb thrombectomy.
• Iindlela zokunyamekela ezihlengahlengisiweyo ngokweminyaka Iingcali ezahlukeneyo zonyango oluphezulu lwabantwana kunye nonyango lwabantwana kumntwana ongaqhelekanga ofuna ukususwa kwamahlwili egazi, kunye neenkqubo ezithintela abantu abadala abanesifo sezintso, ubuthathaka okanye amayeza amaninzi. Abadlali kunye nabantu abadala abakhutheleyo emzimbeni bakhokelwa ngesicwangciso sokubuyela kwimisebenzi ethile ngokwemidlalo.
• Idesika ye-inshurensi kunye ne-TPA ekhampasini ukujongana nemvume yokusebenzisa imali ngaphandle kwemali, kunye nendawo enye yokunxibelelana neentsapho ezivela ngaphandle kweLucknow.

isishwankathelo

Utyando lweThrombectomy yinkqubo ebalulekileyo eyenzelwe ukususa amahlwili egazi kwimithambo yegazi, ngakumbi kwiimeko zestroke esibukhali se-ischemic, i-deep vein thrombosis, i-acute limb ischaemia okanye i-pulmonary embolism. Kwizibhedlele zase-Apollo eLucknow, sijonge ukubonelela ngononophelo olupheleleyo noluxhotyiswe kakuhle sisebenzisa ubuchwepheshe bangoku ukuze izigulana zibe nethuba elihle lokufumana iziphumo ezilungileyo. Iqela lethu leengcali lisebenza ukwakha isicwangciso sonyango malunga nemeko yomntu ngamnye, ubudala, ezinye izifo kunye neemeko zobuqu.

Utyando lweThrombectomy lunokwenziwa ngeendlela ezimbini ezibanzi: utyando lwe-mechanical (endovascular) thrombectomy , apho i-catheter idluliselwa kumthambo okanye kwimithambo yegazi - ngokuqhelekileyo ukusuka kwi-groin okanye esihlahleni - kwaye i-clot ikhutshwa nge-stent retriever okanye itsalwe nge-aspiration catheter; kunye ne -embolectomy yotyando , apho imithambo yegazi ivulwa kwaye i-clot isuswe ngqo. Ukhetho luxhomekeke ekubeni i-clot ikuphi, ixesha elingakanani apho, kunye nemeko yesigulana iyonke.

Kutheni i-Thrombectomy iyimfuneko

I-Thrombectomy isetyenziselwa ukubuyisela ukuhamba kwegazi kwizigulana ezinemithambo yegazi evalwe lihlwili. Xa ihlwili livala umthambo wegazi, linokukhokelela kwimiphumo emibi equka ukufa kwezicubu, ukonakala kwamalungu omzimba, ukulahleka kwamalungu omzimba okanye ukufa. Le nkqubo ibaluleke kakhulu kwi-acute ischemic stroke ebangelwa kukuvaleka komthambo omkhulu, apho umzuzu ngamnye odlulayo uthetha ukuba iiseli zobuchopho ezininzi ziyalahleka. Ngokususa ihlwili, i-thrombectomy inokunciphisa - nangona ingasusi - umngcipheko wokukhubazeka kwexesha elide kwaye iphucule amathuba okuphila okunentsingiselo.

Iingenelo zidlulela ngaphaya kwengxakeko ekhawulezileyo. Izigulane ezininzi zifumana ukuzimela okungcono kokusebenza, iintlungu ezincinci kunye nokubuyela kwangoko kwimisebenzi yemihla ngemihla kunokuba bezinokwenza ngaphandle konyango. Iziphumo zisaxhomekeke kakhulu ekubeni unyango luqale ngokukhawuleza kangakanani, ubungakanani bommandla ochaphazelekayo kunye nempilo yesigulane, ngoko ke akukho siphumo somntu ngamnye esinokuthenjiswa kwangaphambili.

Imingcipheko yokuLibazisa

Ukungenelela ngexesha elifanelekileyo kubalulekile. Ukulibaziseka kunokukhokelela kumonakalo ongenakulungiseka kwizicubu kunye namalungu anikezelwa yimithambo evalekileyo. Kwistroke, izicubu zobuchopho esele zifile azinakuvuselelwa ngokuvula kwakhona umthambo? yiyo loo nto ibinzana elithi "ixesha liyingqondo" lilawula yonke indlela yestroke.

Izigulana ezilibazisa ukufuna unyango zinokujongana namathuba aphezulu okuba neengxaki, ukuchacha ixesha elide, ukuxhomekeka ngakumbi kubanakekeli kunye neziphumo ezimbi ngokubanzi. Kwi-acute limb ischaemia, ukulibaziseka nokuba ziiyure ezimbalwa kunokuguqula umlenze onokusinda ube ngulowo ufuna ukunqunyulwa. Izibhedlele zase-Apollo eLucknow ziqhuba inkonzo yongxamiseko yeeyure ezingama-24 ukuze uvavanyo, imifanekiso kunye nesigqibo sokubuyiselwa kwamahlwili kuqale ngaphandle kokulinda okungenakuphepheka.

Iinzuzo zeThrombectomy

• Ukubuyiselwa kokuHamba kwegazi: Injongo ephambili kukuvula kwakhona isitya ukuze ioksijini ifikelele kwizicwili ezichaphazelekayo kwaye umonakalo ongaphezulu uncitshiswe.
• Umngcipheko owehlisiwe weengxaki: Ukususa ihlwili kunciphisa umngcipheko wemiphumo ye-ischemia ende, njengokungasebenzi kakuhle kwamalungu omzimba, i-gangrene okanye ukukhubazeka okukhulu okubangelwa sistroke.
• Umgangatho woBomi obuphuculweyo: Izigulane ezininzi zixela ukuphucuka okubonakalayo ekusebenzeni nasekuthuthuzeleni emva kokususwa ngempumelelo kwehlwili.
• UFundo olomeleziweyo: Xa kuthelekiswa nonyango lwezonyango kuphela kwizigulana ezifanelekileyo, i-thrombectomy ingayifinyeza indlela yokubuyela kwinkululeko.
• Ukhathalelo Olulolwakho: Unyango kwiZibhedlele zaseApollo eLucknow lucwangcisiwe ngokwendawo apho ihlwili legazi lesigulana ngasinye lihlala khona, ixesha, izifo ezihambisana nalo kunye neemfuno zokubuyiselwa kwimeko yesiqhelo.

Oko Kuthethwa Zizikhokelo Zangoku

Ukuthathwa kwezigqibo kwiZibhedlele zaseApollo eLucknow kulandela ubungqina obamkelweyo kuzwelonke nakwamanye amazwe kunokulandela umthetho omiselweyo wangaphakathi. Amanqaku aphambili okubhekisa kuwo ngala:

• Ingxelo yeMvumelwano ye-Indian Stroke Association (ISA) kunye neZikhokelo zokuSebenza zoLawulo lwe-Acute Ischemic Stroke, epapashwe kwiJenali ye-Stroke Medicine ngo-2023. Ixhasa ukususwa kwemithambo yegazi ngoomatshini ukuze kuvalwe imithambo emikhulu ngaphambili, kwaye okubaluleke kakhulu kubasebenzi baseIndiya, igxininisa ekwakheni uthungelwano lwezibhedlele "olulungele ukubethelwa yistroke", ukudluliselwa kwe-drip-and-ship ukusuka kwiindawo ezincinci, kunye nokunciphisa amaxesha okubhoboza ukusuka emnyango ukuya emqolo ukuya entloko.
• Utshintsho olukhulu kakhulu lwakutshanje kweli candelo kukwandiswa kwexesha lokufaneleka. Apho i-thrombectomy yayikhe yanqunyelwa kwiiyure ezimalunga nezi-6 ukusuka ekuqaleni kweempawu, izigulane ezikhethiweyo ezine-CT okanye i-MR perfusion efanelekileyo okanye ukungalingani kweklinikhi ngoku zinokunyangwa ukuya kuthi ga kwi iiyure 24, emva kovavanyo lwe-DAWN kunye ne-DEFUSE-3. Kutshanje, uvavanyo oluquka i-SELECT2, i-ANGEL-ASPECT kunye ne-RESCUE-Japan LIMIT lubonise inzuzo kwizigulana ezine- ezinkulu Ngaba sele kusekwe ii-infarct cores ezazingabandakanywanga ngaphambili, kwaye oku kubonakala kuhlaziyo luka-2023/2024 kwi-American Heart Association / American Stroke Association kunye nesikhokelo se-ESMINT se-European Stroke Organisation.
• Kwi-venous clot, Isikhokelo se-American College of Chest Physicians (CHEST) sokuthintela ukudumba kwegazi, esihlaziyiweyo ngo-2021 kunye nohlaziyo olugxile ku-2024, kunye nesikhokelo se-European Society of Cardiology sika-2019 kwi-pulmonary embolism, sithintela i-thrombectomy elawulwa yi-catheter okanye yotyando kwizigulana ezikhethiweyo - umzekelo i-DVT enkulu ye-iliofemoral enemilenze esongelwayo, okanye i-pulmonary embolism enomngcipheko ophezulu kunye nokungazinzi kwe-haemodynamic okanye i-thrombolysis engaphumelelanga. Uninzi lwe-DVT olulula lusenyangwa nge-anticoagulation yodwa.
• Kwi-acute limb ischaemia, I-Vascular Society yaseIndiya kunye nesikhokelo sehlabathi jikelele malunga ne-ischaemia esongela amalungu asisigxina ixhasa ukuvuselelwa kwemithambo yegazi ngokukhawuleza, nge-catheter okanye i-open embolectomy, ekhokelwa ludidi lobunzima bamalungu ahlukeneyo.

Ubungqina busaqhubeka buvela phi? Umzekelo, kwi-basilar artery occlusion, kwizigulane ezindala kakhulu, nakwimilinganiselo echanekileyo yokuphalaza igazi esetyenziselwa ukukhetha i-late window? Izigqibo zenziwa icala ngalinye, kwaye iqela liza kuchaza usapho malunga nobungakanani bokungaqiniseki ngaphambi kokuba kuvunyelwene.

Ixesha leNkqubo kunye neSigaba sangaphambi kweNkqubo

Utyando lweThrombectomy ludla ngokuba yingxamiseko kunokuba lucwangcisiwe, kwaye "isigaba sokulungiselela" sicinezelwa ngokufanelekileyo.

Iinketho Zobuchule Zithelekiswa

Iinkqubo Ngamanye amaxesha zenziwa ngaxeshanye

• I-Angioplasty kunye ne-stenting ukuncitshiswa okungaphantsi kwe-carotid, i-iliac okanye umthambo womlenze emva kokuba ihlwili lisusiwe.
• I-venous stenting Uxinzelelo lweThurner lukaMeyi lufunyenwe ngexesha lonyango lwe-DVT.
• Isihluzi se-vena cava esingaphantsi sexeshana kwizigulane ezikhethiweyo ezingakwaziyo ukuthatha amayeza okunciphisa igazi.
• IFasciotomy ukuba uxinzelelo lwegumbi lunyuka emva kokuba umlenze uphinde wavuthuluka.
• Utyando lwe-craniectomy oluthomalalisayo ukuba kuvela ukudumba okukhulu kwengqondo emva kwestroke enkulu.
• Ukujonga isigqi sentliziyo okanye i-echocardiography ukufumana i-atrial fibrillation, ihlwili entliziyweni, okanye umngxuma ophakathi kwamagumbi njengomthombo wehlwili.
• Ukuhlolwa kweThrombophilia kunye nomhlaza kwizigulane ezincinci okanye amahlwili angachazwanga.

Ukulungiselela kunye noBuyiselo

Iingcebiso zoLungiselelo

• Ukubonisana: Apho imeko ingekho kwimeko engxamisekileyo, dibana neqela le-Apollo Hospitals eLucknow ukuze nixoxe ngemeko yakho, iindlela onokukhetha kuzo kunye nezinto ezikuxhalabisayo.
• Imbali yoNyango: Yabelana ngembali epheleleyo - amayeza angoku (ingakumbi amayeza okunciphisa igazi afana ne-warfarin, i-aspirin, i-clopidogrel okanye amayeza amatsha okuthintela ukugabha kwegazi), ii-allergies, utyando lwangaphambili kunye naluphi na utyekelo lokopha.
• Uvavanyo lwangaphambili: Uvavanyo lwegazi, ukusebenza kwezintso, iprofayili yokujiya kwegazi kunye nemifanekiso zisetyenziselwa ukuqinisekisa ukuxilongwa kunye nokucwangcisa indlela eza kulandelwa.
• Imiyalelo yokuzila ukutya: Landela icebiso lokuzila ukutya elinikiweyo, njengoko kufuneka i-sedation okanye i-anesthesia. Kwimeko engxamisekileyo yokwenyani, inkqubo iyaqhubeka nokuba imeko yokuzila ukutya injani na.

Iingcebiso zokuBuyisa kwakhona

• Ukhathalelo lwasemva kokusebenza: Uza kubekwa esweni ngononophelo - ngesiqhelo kwi-ICU okanye kwiyunithi exhomekeke kakhulu emva kwestroke okanye i-PE thrombectomy. Landela imiyalelo yokukhupha usana ngokuchanekileyo.
• Ulawulo lweentlungu: Xoxa ngenkxaso yokuphelisa iintlungu neqela; iindawo ezibhobozwayo emqolo okanye esihlahleni zihlala zingakhululeki kangako.
• Umsebenzi woMzimba: Qhubeka nomsebenzi kancinci kancinci njengoko kucetyisiwe. Ukukhuthaza kwangethuba, ukulawulwa, kukhuthazwa kwiimeko ezininzi.
• Ukuqeshwa kolandelo: Yiya kuphononongo ngalunye ukuze inkqubela phambili, idosi yokunciphisa igazi kunye nayo nayiphi na ingxaki ibonwe kwangethuba.
• Ukuguqula indlela yokuphila: Ulawulo loxinzelelo lwegazi kunye nesifo seswekile, ukutya ukutya okunetyuwa encinci kunye nokutya okuthosiweyo kancinci, ukuyeka icuba kunye ne-gutka, ukunciphisa utywala, ukunciphisa ubunzima kunye nokuhamba rhoqo konke oku kunciphisa umngcipheko wokuphinda kuqhekeke amahlwili.

Isigaba sokuBuyisela kwiSigaba ngeSigaba

Imigaqo yokubuyela emsebenzini, ukuqhuba imoto kunye nezemidlalo

• Akukho zimpawu zintsha zemithambo-luvo, kunye nexesha lokubona, ingqalelo kunye nexesha lokuphendula elivavanywe ngokusemthethweni njengelaneleyo ngaphambi kokuba kuqaliswe ukuqhuba emva kwestroke.
• Indawo yokufikelela emqolo okanye esihlahleni iphiliswe ngokupheleleyo, kungekho ukudumba, ukwanda kwemivumbo okanye iqhuma elithambileyo.
• Uxinzelelo lwegazi, iswekile kunye nesingqisho zilawulwa ngokufanelekileyo ngeedosi ezizinzileyo.
• Uyakwazi ukuhamba kwindawo ethe tyaba imizuzu eli-10 ukuya kweli-15 ngaphandle kokuphefumla okanye iintlungu zesifuba ngaphambi kokuba enze nayiphi na ijimu okanye umsebenzi wasentsimini.
• Imidlalo yokuchukumisa umzimba, uqeqesho olunzima kunye nemisebenzi enomngcipheko omkhulu wokuwa idla ngokulibaziseka xa usebenzisa amayeza okunciphisa igazi, kwaye iphinda ikhutshwe kuphela emva kokuba inikwe imvume ethile.
• Ukudada kuqaliswa kwakhona emva kokuba indawo yokubhoboza ibhobokile kwaye naliphi na inxeba livalwe ngokupheleleyo.
• Iziganeko ezibalulekileyo zaseIndiya esizivavanya ngabom: ukuquleka ukuya kwindlu yangasese efana neyamaNdiya, ukuhlala phantsi unqumle imilenze ukuze uthandaze okanye utye, ukulala nokuvuka kumatrasi ophantsi, ukunyuka izinyuko ezinde kumakhaya amadala, kunye nomsebenzi wasekhitshini obandakanya ukuma ixesha elide. Oku kuhlolwa yingcali ye-physiotherapist kunokuba kucingelwe.

Ukuthintela Elinye Ihlwili

• Sela amayeza okunciphisa igazi okanye iiplatelets njengoko kuyalelwe; ungaze uziyeke wedwa ngaphambi kokwenza utyando lwamazinyo okanye oluncinci ngaphandle kokubuza iqela elinyangayo.
• Ngaba kufuneka unyange i-atrial fibrillation? Sisifo esiqhelekileyo nesihlala singabonakali, kwaye sinokufunyanwa nge-ECG okanye iHolter.
• Lawula uxinzelelo lwegazi, isifo seswekile kunye ne-cholesterol; ezi zezona zingozi ziphambili ezinokuguqulwa kubemi baseIndiya.
• Yeka ukutshaya, i-bidi, i-hookah kunye nokuhlafuna icuba ngokupheleleyo.
• Nxiba iisokisi ezixineneyo emva kokuhlinzwa okukhulu ukuba uyacetyiswa, ukuze wehlise umngcipheko we-post-thrombotic syndrome.
• Kwihambo ezinde zoololiwe okanye ibhasi kunye neenqwelo moya, shukumisa amaqatha ngeyure nganye, hamba xa kunokwenzeka kwaye uhlale umanzi.
• Kuphephe ukungakwazi ukuhamba ixesha elide emva kotyando, ukuzala okanye ukugula; buza malunga nokuthintela ukuqhekeka kwegazi ngaphambi kotyando olucwangcisiweyo.
• Xoxa nogqirha wakho ngokuthintela ukukhulelwa ngamahomoni kunye nonyango ngamahomoni ukuba ukhe wanamahlwili egazi.
• Qhubeka nokwenza umthambo rhoqo? Ukuhamba ngeenyawo imizuzu engama-30 imihla ngemihla yeyona nto ibalulekileyo kubantu abadala abaninzi.

Abantwana kunye nezigulane ezindala

abantwana

Amahlwili ebantwaneni awaqhelekanga kwaye adla ngokunxulunyaniswa nesifo sentliziyo esizalwa naso, ii-catheters ezihlala ngaphakathi, usulelo, isifo se-sickle cell, ukuphelelwa ngamanzi emzimbeni okanye isifo sokuqunjelwa kwesisu esizuzwe njengelifa. Utyando lwe-thrombectomy lwabantwana lwenziwa kuphela kubantwana abakhethwe ngononophelo, kuba ubungqina bovavanyo bunqongophele kwaye ubungakanani bezixhobo zenzelwe imithambo yegazi yabantu abadala. Ukhathalelo lukwabelwana phakathi kwabantwana abaxinzelelekileyo, i-neurology yabantwana okanye i-cardiology kunye neqela lokungenelela, kunye nedosi yemitha kunye nomthamo womahluko ogcinwa uphantsi.

Izigulane ezindala

Ubudala ngokwabo abuyongxaki? Izilingo ezininzi zokususwa kwemithambo yegazi ziquka izigulane ezingaphezu kwama-80, kwaye inzuzo ibonakalisiwe kwizigulane ezikhethiweyo ezikhulileyo. Okubaluleke ngakumbi linqanaba lokuzimela ngaphambi kwestroke, ukusebenza kwezintso, ubuthathaka, inani lamayeza kunye nokuba khona kwe-dementia okanye ukungasebenzi kakuhle kwentliziyo. Ngenxa yokuba izigulane ezindala zinomngcipheko ophezulu wokopha kunye nokwenzakala kwezintso okunxulumene nomahluko, umswakama, ubungakanani bomahluko kunye nomthamo we-anticoagulant kuyalungiswa, kwaye iinjongo zokhathalelo zixoxwa ngokukhululekileyo nosapho ngaphambi kokuba kuqhubeke.

Ukuba Ukhetha Ukungayi Kwenziwe Le Nqubo

Ukwala ukususwa kwe-thrombectomy lukhetho olufanelekileyo, kwaye kufuneka lube lolwazi oluchanekileyo. Iqela liza kuchaza ukuba yintoni enokwenzeka kwimeko yakho ethile.

• Istroke esivalekileyo ngenqanawa enkulu: unyango lodwa lushiya amathuba aphezulu kakhulu okukhubazeka okanye ukuxhomekeka kakhulu; inani lezigulane liyaphucuka ngokuzenzekelayo, kodwa oku akunakuxelwa kwangaphambili.
• I-acute limb ischaemia: Isifo sentliziyo esingapheliyo: ngaphandle kokuvuselelwa kwemithambo yegazi, ukuqhubekela phambili kwi-gangrene kunye nokunqunyulwa kwesisu kunokwenzeka.
• Ukuxhuzula kwamaphaphu okunobungozi obukhulu: Ukufa kuphezulu ngaphandle kokuphinda kufakwe igazi ngokukhawuleza, nokuba kungeyeza okanye nge-catheter.
• I-DVT ebanzi: Ukuthintela ukujiya kwegazi kuphela yindlela eyamkelekileyo, enomngcipheko ophezulu wokudumba kwemilenze okungapheliyo, umbala wayo, iintlungu kunye nezilonda.

Unyango olujolise ekuthomalaliseni nasekuthuthuzeleni lunikezelwa ngobunzulu obufanayo apho isigulana okanye usapho, emva kwengcaciso epheleleyo, lugqiba kwelokuba lungangeneleli.

Yintoni Etshintsha Ixabiso

Izibhedlele zaseApollo eLucknow azipapashi ixabiso elinye lokususwa kwe-thrombectomy, kuba ixabiso lixhomekeke kumfanekiso weklinikhi. Nceda ubuze ireception, ikhawuntara yokuhlawula okanye idesika yeinshurensi ukuze ufumane uqikelelo olubhaliweyo lwetyala lakho.

I-inshurensi kunye noNyango olungenamali eIndiya

• Imicimbi engxamisekileyo xa ithelekiswa necwangcisiweyo. Utyando lweThrombectomy xa kukho isifo sohlangothi, i-limb ischaemia okanye i-PE phantse luhlala luyinto engxamisekileyo, ngoko ke kufakwa isicelo semvume ngaphambi kokuba ingeniswe kunokuba ingeniswe ngaphambili. Unyango alulibaziseki ngelixa kusalindelwe imvume.
• Amaxesha okulinda. Uninzi lweepolisi zokhuseleko lwaseIndiya zinexesha lokulinda lokuqala elimalunga neentsuku ezingama-30 kwiibango ezinxulumene nokugula, kunye neminyaka eyi-2?4 kwiimeko ezithile ezichaziweyo okanye esele zikhona. Amahlwili avela kwimeko esele ikho njengesifo seswekile, uxinzelelo lwegazi oluphezulu okanye isifo sokuqhekeka kwegazi esaziwayo sinokutsala ixesha lokulinda lesifo esele ikho; qinisekisa isiqendu esichanekileyo nomshuwalense wakho.
• Ukhuseleko lwengozi luziphatha ngendlela eyahlukileyo. Ukuba ihlwili lilandela ukwenzakala, ukwenzakala ngengozi okanye ingozi yendlela, ixesha lokulinda lokuqala leentsuku ezingama-30 alisebenzi, kwaye imigaqo-nkqubo yengozi yomntu ingasabela. Gcina ingxelo yamapolisa okanye irekhodi yengozi ukuba ikhona.
• Inkqubo engenamali. Nika ikhadi lezempilo kunye nesazisi esinemifanekiso kwidesika yeinshorensi. Isibhedlele sithumela isicelo semvume kwangaphambili kwinkampani yeinshorensi okanye kwi-TPA; imvume yokuqala idla ngokufunyanwa kwiiyure ezimbalwa kwiimeko ezingxamisekileyo, kulandele izicelo zokuphucula njengoko unyango luqhubeka.
• Indlela yokubuyisela imali. Ukuba i-inshorensi yakho ayinayo i-boe-up, hlawula uze ufake ibango kamva. Gcina amatyala okuqala, isishwankathelo sokukhululwa kwityala, zonke iingxelo zophando, izitikha okanye ii-invoyisi ze-implant kunye nezesixhobo, kunye namatyala ekhemesti.
• Lindela ezinye izinto ezingahlawulelwayo Izinto ezisetyenziswayo, iiglavu, iindleko ezithile zokubhalisa nezolawulo, izongezo zokutya kunye neendleko zokuncedisa zihlala zingabandakanywa, kwaye imida yokuqeshisa igumbi inokunciphisa ibango lonke ngokulinganayo.
• Izicwangciso zikarhulumente kunye neziko Ezifana ne-Ayushman Bharat PM-JAY, CGHS, ECHS kunye nezicwangciso zabasebenzi bakarhulumente zichaze amaxabiso eepakeji kunye neemeko zokuxhasa. Buza ngqo idesika yeinshurensi ukuba ingaba isicwangciso sakho esithile siyasebenza kwiZibhedlele zaseApollo eLucknow? Oku kuyatshintsha ngokuhamba kwexesha kwaye akufuneki kucingelwe.

Ukucwangcisa ukwamkelwa kunye noko uza kuzisa

• Zonke iiresiphi zangaphambili, izishwankathelo zokukhululwa esibhedlele, iifilimu kunye neengxelo ze-CT okanye ze-MRI, ii-ECG kunye neengxelo zovavanyo lwegazi.
• Uluhlu olubhaliweyo lwamayeza akhoyo aneedosi, kuquka izongezo ze-Ayurvedic, ze-homeopathic kunye nezongezo ezithengiswa ngaphandle kwemvume kagqirha.
• Isazisi esinefoto kunye nobungqina bedilesi yesigulana kunye nomguli oyintloko; i-Aadhaar idla ngokucelwa.
• Ikhadi le-inshurensi, inombolo yepolisi kunye neenkcukacha zoqhagamshelwano ze-TPA.
• Impahla ekhululekileyo, evula ngaphambili, izihlangu zerabha, izinto zokuhlamba, kunye nayo nayiphi na into yokuncedisa ukuhamba okanye iiglasi zeglasi ezisetyenziswa rhoqo.
• Ifowuni etshajiweyo, itshaja, kunye nemali okanye ikhadi leendleko ezingalindelekanga.
• Ukuba kukho umntu omnye okanye ababini abanoxanduva abanokuhlala, batyikitye imvume baze bathathe imiyalelo kwiintsapho ezidibeneyo, kuyanceda ukutyumba umntu omnye othatha izigqibo kunye nomntu omnye oza kunxibelelana noogqirha, ukuze ulwazi lungagqwethwa zizalamane ezininzi.
• Ukuba isigulana sinesifo seswekile, phatha i-glucometer kunye neerekhodi zeswekile zamva nje.

Iimpawu Zesilumkiso Ezifuna Uphononongo Olungxamisekileyo

Emva kokukhululwa esibhedlele, buyela kwicandelo lezonyango ngaphandle kokulinda idinga ukuba uqaphela oku:

• Ubuthathaka obutsha, ukugoba kobuso, intetho engacacanga, ukudideka ngequbuliso okanye ukulahleka kombono.
• Intloko ebuhlungu okanye ebuhlungu ngequbuliso, ukuhlanza okanye ukozela okwandayo.
• Ukopha okuvela emqolo okanye esihlahleni, iqhubu elikhula ngokukhawuleza, okanye ukudumba okuchukumisayo apho.
• Umlenze obandayo, okhanyayo, obuhlungu okanye ongenamandla, okanye umlenze oqala ukudumba nobuhlungu ngequbuliso.
• Intlungu esifubeni, ukungakwazi ukuphefumla xa uphumle, ukukhohlela igazi okanye ukuquleka.
• Indle emnyama, igazi emchameni okanye ekuhlanzeni, okanye ukudumba okukhulu okungaziwayo ngelixa usebenzisa izinto zokunciphisa igazi.
• Umkhuhlane ongaphezulu kwama-38°C, ukubomvu okanye ukuphuma kwamanzi enxebeni.
• Ukungakwazi ukuchama, okanye ukwehla okukhulu kokuphuma komchamo.

Kwabaguli Abahambayo Abavela Kwizithili Nezixeko Ezikufutshane

Izibhedlele zeApollo, uLucknow, kwiNdlela yaseKanpur, ufumana izigulana ezisuka ngaphaya kombindi kunye nempuma ye-Uttar Pradesh nangaphaya? kuquka i-Kanpur, i-Unnao, i-Barabanki, i-Sitapur, i-Hardoi, i-Rae Bareli, i-Amethi, i-Sultanpur, i-Ayodhya, i-Gonda, i-Bahraich, i-Lakhimpur Kheri, i-Shahjahanpur, i-Pratapgarh, i-Jaunpur, i-Faizabad, i-Basti, i-Gorakhpur, i-Allahabad (i-Praya, iinxalenye ze-Unidrana, i-Vandrana, i-Alakharaj, i-Prayagraj kunye neenxalenye ze-Bidrana), Madhya Pradesh kunye neNepal.

• Xa kukho isifo sohlangothi esirhanelwayo, musa ukuya esibhedlele esikude kuqala. Fikelela kwiziko elikufutshane nge-CT scanning, kwaye uvumele elo qela lilungiselele ukudluliselwa kwi-thrombectomy ukuba kufunyenwe ukuvaleka kwemithambo emikhulu. Le ndlela "yokuntywila nokuthunyelwa" icetyiswa ngokukodwa kwisikhokelo se-stroke saseIndiya.
• Biza ngaphambili. Ukufowunela ngaphambi kokuba i-ambulensi ifike kuvumela iqela lezonyango ukuba lilungiselele ilebhu yonyango kwaye linciphise ixesha lokungena emnyango ukuya kunyango.
• Phatha iifilimu ze-CT zangaphandle, kungekuphela nje ingxelo Imifanekiso ngokwayo ikhokela isigqibo.
• Ukufikelela: Isibhedlele sikwindlela enkulu yaseKanpur Road, efikelelekayo ukusuka kwisikhululo sikaloliwe saseCharbagh kunye nesikhululo seenqwelo-moya iChaudhary Charan Singh International; iLucknow Metro kunye neKanpur? Indlela enkulu yaseLucknow yenza ukufika ngemoto kunye noololiwe kube lula kwiindawo ezininzi.
• Indawo yokuhlala: Cela isikhokelo kwidesika ekufutshane malunga nendawo yokuhlala yabasebenzi abakwimeko yoxinzelelo, kuba ukuvuselelwa emva kwestroke kunokufuna ukutyelela abantu abaninzi ngaphandle kwesibhedlele.
• Cwangcisa ulandelelwano ngokufanelekileyo: Ukuba uhlala kude, cela ukuba iingcebiso, iiskeni kunye nokuhlolwa kwe-physiotherapy kuhlanganiswe ngamaqela ngaloo mini inye, kwaye ubuze ukuba ngaba ukubonisana nge-teleconsulting kufanelekile na kwiingxelo zemihla ngemihla.

Unxibelelwano kunye neeNdibano zokuQeqesha

Ukuba kukho isifo sohlangothi esirhanelekayo, ukuhlaselwa yintliziyo, iintlungu zemilenze ngequbuliso kunye nokufiphala, okanye ukuphefumla ngequbuliso, yiya ngqo kwicandelo likaxakeka okanye utsalele i-ambulensi - ungalindi idinga le-OPD.

Imibuzo ebuzwa qho

Ziziphi iingozi ezinxulumene ne-thrombectomy?

Ukususwa kweThrombectomy ngokuqhelekileyo kukhuselekile ezandleni ezinamava, kodwa njengayo nayiphi na inkqubo yokungenelela ineengozi. Oku kungabandakanya ukopha, usulelo, ukwenzakala emthanjeni wegazi, ukopha ukuya ebuchotsheni emva konyango lwestroke, uxinzelelo lwezintso oluhambelana nomahluko, okanye ihlwili elihamba liye kwindawo entsha. Iqela lee-Apollo Hospitals eLucknow liza kuxoxa ngemingcipheko esebenza kwimeko yakho ethile ngexesha lemvume kwaye lithathe amanyathelo okunciphisa loo mingcipheko.

Ndingayicwangcisa njani i-thrombectomy kwi-Apollo Hospitals eLucknow?

Kwiimeko ezingezizo ezingxamisekileyo, nxibelelana nomnxeba woncedo lokuqeshwa ku-1860 500 1066 okanye ubhukishe ingcebiso kwiwebhusayithi yesibhedlele, kwaye abasebenzi baya kukukhokela ekungeneni. Kwiimeko ezingxamisekileyo, yiza ngqo kwicandelo lezonyango ezisebenza iiyure ezingama-24; akukho mfuneko yokuqeshwa kwangaphambili.

Lingakanani inqanaba lamava oogqirha abenza i-thrombectomies apha?

Utyando lwe-Thrombectomies lwenziwa ziingcali ze-neuro-interventionist ezikwinqanaba lomcebisi, iingcali ze-radiology ezingenelelayo, iingcali zentliziyo kunye noogqirha bemithambo yegazi ngokuxhomekeke kwindawo apho ihlwili khona, ezixhaswa yi-anesthesia ezinikeleyo kunye namaqela okhathalelo olubalulekileyo. Ungacela idesika yokuqeshwa ukuze ufumane iziqinisekiso namava omcebisi othile ngaphambi kokuba uqhubeke.

Ithatha ixesha elingakanani inkqubo yokuchacha emva kokususwa kwe-thrombectomy?

Ukuchacha kuyahluka kakhulu ngokwendawo apho ihlwili lithe laphuka khona kunye nomonakalo osele wenziwe. Izigulane ezininzi ezine-limb eling okanye i-venous thrombectomy ziphinda ziqalise imisebenzi yazo eqhelekileyo kwiiveki ezimbalwa, ngelixa ukuchacha emva kwe-stroke enkulu kunokuqhubeka kwiinyanga ezininzi zokuvuselelwa. Iqela lakho liza kunika uqikelelo lomntu ngamnye endaweni yexesha elimiselweyo.